Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature. (6th December 2016)

• Record Type: Journal Article
• Authors: Vashistha, Nitin; Singhal, Dinesh; Makkar, Gurpreet; Chakravarty, Suneel; Raj, Vivek
• Other Names: de Castro Steve Academic Editor.
• Is Part Of: Case reports in surgery. Volume 2016(2016)
• Publication Date: 2016-12-06
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; Surgical Procedures, Operative; General Surgery; Surgery; Electronic journals; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617
• DOI: 10.1155/2016/4681989
• Languages: English
• ISSNs: 2090-6900

Abstract

Abstract : Giant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter. Now infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. Proton pump inhibitors reportedly achieve better healing rates and symptom relief in comparison to H2RA. The GGU is associated with high incidence of serious complications such as hemorrhage. A perforated GGU though rare (<2%) offers serious challenges in management. We report one such case wherein the role of multidetector CT scan (MDCT) for diagnosis and treatment planning, surgical options for GGU perforations, and factors affecting outcome are discussed.